Johnson Denial.pdf

Wayne E Johnson, Petitioner V Township Of Waterford, Respondent · 24-003980-TT

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Michigan Department of Treasury 

Notice of Denial of Disabled Veterans Exemption 

Issued under authority of Public Act 206 of 1893, as amended 

With this notice, you are notified that the Disabled Veterans Exemption on the property identified below has been 

denied. 

If you have questions about the denial, you may contact your local government or follow the appeal procedures 

specified below. 

Type or print in blue or black ink. 

PART 1: PROPERTY INFORMATION Type or print legibly. Use a separate form for each property number. 

1. Property Tax Identification Number 

2. Name of Local Unit (Check Township or City) 

13-23-251-016 

Waterford 

3. County 

. 

] 

Oakland 

Township 

[Cl city 

4. Street Address of Property (Provide a Complete Address) 

City 

State 

ZIP Code 

1158 N Cass Lake Road 

Waterford 

MI 

48328 

5. Name of Owner (First, Middle, Last) 

Wayne Johnson/Johnson Family Protection Trust 

6. Owner's Daytime Telephone Number 

7. Owner's Email Address 

248-674-0509 

8. Mailing Address 

if Different than Property Address 

City 

State 

ZIP Code 

9. Your exemption was denied/adjusted for the following reason: 

] a. The owner is neither a disabled veteran who qualifies for the exemption nor the unremarried surviving spouse of 

a disabled veteran who, immediately before death, was eligible for the exemption 

b. The property claimed is not the owner’s homestead. 

] c. The property has transferred, and the qualifying individual is no longer the owner. 

1 d. The person claiming the exemption is not the owner. 

e. Other: 

The property is in a trust with beneficiaries other than the veteran and the spouse. 

10. Claim Denied for Calendar Year(s): 

2024 

PART 2: CERTIFICATION / 

11. Name of the Local Assessor (Print gt Type) 

Paula Moore 

12. 

Signature 

of Lgcal Assesspr 

13. Date 

PA Tins 

08/13/2024 

14, Adtiress of Local Governmefit Unit 

City 

State 

ZIP Code 

5200 Civic Center Drive 

Waterford 

Mi 

48329

Th— 

. 

_nigan Department of Treasury 

[4 

Fa 

[ 

5107 (Rev. 11-23) 

i 0 AU 

State Tax Commission Affidavit for Disabled Veterans 

Issued under authority of Public Act 161 of 2013, MCL 211.7b. Filing is mandatory. 

gg, 

Ib 

MAY 

06 

7 

Exemption 

Instructions: This form is to be used to apply for an exemption of property taxes under MCL 211.7b, for real property used and owned as a homestead 

by a disabled veteran or an unremarried surviving spouse of a disabled veteran who, immediately before death, was eligible for the exemption under this 

section. 

OWNER INFORMATION (Enter information for the disabled veteran or unremarried surviving spouse) 

Owner's Name 

\NRY AE 

Owner's Telephone Number 

(10509 

E 

JOHN 

Owner's Mailing Address 

J 

Gity 

= 

p 

NS¥ 

CASS (KE 

AD 

WARTBpEA) 

State 

i Fa 

mi 

| 455-8 

LEGAL DESIGNEE INFORMATION (Complete if applicable) 

Legal Designee Name 

Daytime Telephone Number 

Legal Designee Mailing Address 

City 

State 

ZIP Code 

HOMESTEAD PROPERTY INFORMATION (Enter information for the property in which the exemption is being claimed) 

Name of Local Unit (Check Township, City or Village) 

County 

DAK RD 

[city 

[{ Township 

[] village 

Name of the Local School District 

\WATBE FD 

Parcel Identification Number 

Date the Property 

was Acquired (MM/DD/YYYY) 

Tes 

0 1b 

AVE 

Homestead Property Addre ra 

City 

State 

2B oods 

159 N.C 

LokB 

©) 

lvarpefwp 

| 

453d 

ACKNOWLEDGEMENT (Check all boxes that apply) 

JA am a disabled veteran, or the legal designee of the disabled veteran. 

under this section. 

[] 

| am a Michigan resident. 

any dwelling with its land and buildings where a family makes its home. 

[] 

| am an unremarried surviving spouse of a disabled veteran who, immediately before death, was eligible for the exemption 

] 

| own the property in which the exemption is being claimed and it is used as my homestead. Homestead is generally defined as 

AFFIRMATION OF ELIGIBILITY (Check the appropriate box and provide a copy of the required documentation) 

=| 

the U.S. Department of Veterans Affairs). 

attach a copy of the certificate from the U.S. Department of Veterans Affairs). 

copy of the letter from the U.S. Department of Veterans Affairs). 

The disabled veteran has been determined by the United States Department of Veterans Affairs to be permanently and totally 

disabled as a result of military service and entitled to veterans’ benefits at the 100% rate (must attach a copy of the letter from 

] The disabled veteran is receiving or has received pecuniary assistance due to disability for specially adapted housing (must 

[] The veteran has been rated by the United States Department of Veterans Affairs as individually unemployable (must attach a 

CERTIFICATION 

| hereby certify to the best of my knowledge that the information provided in this Affidavit is true and 

I am eligible to receive the

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